Heights University Hospital

All Charges

Charge

Type

Setting

Price

TFNA CANN 11MM 130D 235MM LT

Facility

$22,045.00

Service Code	HCPCS C1713
Hospital Charge Code	270700152
Hospital Revenue Code	278
Min. Negotiated Rate	$3,306.75
Max. Negotiated Rate	$11,022.50
Rate for Payer: Aetna Commercial	$6,613.50
Rate for Payer: Aetna Medicare Advantage	$6,613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,621.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,621.48
Rate for Payer: Cigna Commercial	$11,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,334.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,306.75

TFNA CANNULA 11/125 340 RT

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270693038
Hospital Revenue Code	278
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$5,484.55
Rate for Payer: Aetna Commercial	$3,290.73
Rate for Payer: Aetna Medicare Advantage	$3,290.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,797.12
Rate for Payer: Cigna Commercial	$5,484.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37

TFNA CANNULA 11/125 340 RT

Facility

$10,969.10

Service Code	HCPCS C1713
Hospital Charge Code	270693038
Hospital Revenue Code	278
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$2,654.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,193.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,654.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,645.37

TFN-ADVNAIL12MM130DTICANN170MM

Facility

$7,576.05

Service Code	HCPCS C1713
Hospital Charge Code	270692572
Hospital Revenue Code	278
Min. Negotiated Rate	$1,136.41
Max. Negotiated Rate	$3,788.03
Rate for Payer: Aetna Commercial	$2,272.82
Rate for Payer: Aetna Medicare Advantage	$2,272.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,931.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,931.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,515.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,931.89
Rate for Payer: Cigna Commercial	$3,788.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,833.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,136.41

TFN-ADVNAIL12MM130DTICANN170MM

Facility

$7,576.05

Service Code	HCPCS C1713
Hospital Charge Code	270692572
Hospital Revenue Code	278
Min. Negotiated Rate	$1,136.41
Max. Negotiated Rate	$1,833.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,515.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,833.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,136.41

TFNA FENESTRATED HELICAL 95MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270681754
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,016.88
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA FENESTRATED HELICAL 95MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270681754
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$820.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA FENESTRATED SCREW 95 MM

Facility

$3,172.00

Service Code	HCPCS C1713
Hospital Charge Code	270687809
Hospital Revenue Code	278
Min. Negotiated Rate	$475.80
Max. Negotiated Rate	$1,586.00
Rate for Payer: Aetna Commercial	$951.60
Rate for Payer: Aetna Medicare Advantage	$951.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.86
Rate for Payer: Cigna Commercial	$1,586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.62
Rate for Payer: Qualcare PPO/HMO/WC	$475.80

TFNA FENESTRATED SCREW 95 MM

Facility

$3,172.00

Service Code	HCPCS C1713
Hospital Charge Code	270687809
Hospital Revenue Code	278
Min. Negotiated Rate	$475.80
Max. Negotiated Rate	$767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.62
Rate for Payer: Qualcare PPO/HMO/WC	$475.80

TFNA FENSTRD HELICALBLADE 75MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270686548
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,016.88
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA FENSTRD HELICALBLADE 75MM

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270686548
Hospital Revenue Code	278
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$820.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$820.28
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

TFNA HELICAL BLADE 120MM

Facility

$3,290.85

Hospital Charge Code	270679723
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

TFNA HELICAL BLADE 120MM

Facility

$3,290.85

Hospital Charge Code	270679723
Hospital Revenue Code	272
Min. Negotiated Rate	$427.81
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$987.25
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.81
Rate for Payer: Oxford Commercial	$1,645.42
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$1,645.42

TFNA NAIL 10MM/125D 340MM RT

Facility

$28,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270699642
Hospital Revenue Code	278
Min. Negotiated Rate	$4,305.00
Max. Negotiated Rate	$14,350.00
Rate for Payer: Aetna Commercial	$8,610.00
Rate for Payer: Aetna Medicare Advantage	$8,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,318.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,318.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,318.50
Rate for Payer: Cigna Commercial	$14,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,945.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,305.00

TFNA NAIL 10MM/125D 340MM RT

Facility

$28,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270699642
Hospital Revenue Code	278
Min. Negotiated Rate	$4,305.00
Max. Negotiated Rate	$6,945.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,945.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,305.00

TFNA NAIL 11MM/125D TI 170MM

Facility

$19,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270699732
Hospital Revenue Code	278
Min. Negotiated Rate	$2,876.25
Max. Negotiated Rate	$9,587.50
Rate for Payer: Aetna Commercial	$5,752.50
Rate for Payer: Aetna Medicare Advantage	$5,752.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,889.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,889.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,889.62
Rate for Payer: Cigna Commercial	$9,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,876.25

TFNA NAIL 11MM/125D TI 170MM

Facility

$19,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270699732
Hospital Revenue Code	278
Min. Negotiated Rate	$2,876.25
Max. Negotiated Rate	$4,640.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.35
Rate for Payer: Qualcare PPO/HMO/WC	$2,876.25

TFNA SCREW 100MM STERILE

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270678460
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$1,615.22
Rate for Payer: Aetna Commercial	$969.13
Rate for Payer: Aetna Medicare Advantage	$969.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.76
Rate for Payer: Cigna Commercial	$1,615.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

TFNA SCREW 100MM STERILE

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270678460
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$781.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

TFNA SCREW 90MM

Facility

$8,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270696754
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.25
Max. Negotiated Rate	$4,277.50
Rate for Payer: Aetna Commercial	$2,566.50
Rate for Payer: Aetna Medicare Advantage	$2,566.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,711.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,181.53
Rate for Payer: Cigna Commercial	$4,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,070.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.25

TFNA SCREW 90MM

Facility

$8,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270696754
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.25
Max. Negotiated Rate	$2,070.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,711.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,070.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.25

TFNA SCREW 95MM

Facility

$3,136.35

Service Code	HCPCS C1713
Hospital Charge Code	270676459
Hospital Revenue Code	278
Min. Negotiated Rate	$470.45
Max. Negotiated Rate	$1,568.17
Rate for Payer: Aetna Commercial	$940.90
Rate for Payer: Aetna Medicare Advantage	$940.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$799.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$799.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$799.77
Rate for Payer: Cigna Commercial	$1,568.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$470.45

TFNA SCREW 95MM

Facility

$3,136.35

Service Code	HCPCS C1713
Hospital Charge Code	270676459
Hospital Revenue Code	278
Min. Negotiated Rate	$470.45
Max. Negotiated Rate	$759.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$470.45

TFNA SCREW FENESTRATED 80MM

Facility

$8,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270699643
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.25
Max. Negotiated Rate	$4,277.50
Rate for Payer: Aetna Commercial	$2,566.50
Rate for Payer: Aetna Medicare Advantage	$2,566.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,711.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,181.53
Rate for Payer: Cigna Commercial	$4,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,070.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.25

TFNA SCREW FENESTRATED 80MM

Facility

$8,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270699643
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.25
Max. Negotiated Rate	$2,070.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,711.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,070.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.25

Know your out-of-pocket cost for care.

All Charges